Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maxillofacial Surgical Associates, PC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1942573902

Maxillofacial Surgical Associates, PC is an Oral & Maxillofacial Surgery (D.M.D.) in Philadelphia, Pennsylvania. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1601 Walnut St Ste 1116
Philadelphia, PA 19102-2944
Phone: (215) 640-0811
Fax: (215) 640-0912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1942573902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allan Shaw — President · (215) 640-0811
NPI enumeratedFebruary 21, 2012
Last updated in NPPESFebruary 21, 2012
Mailing address1601 Walnut St, Suite 1116, Philadelphia, PA 19102-2944

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